Met w/the Bulgarian RE

I met w/the new RE last week and again today.  Eh...he's OK.  Not alot of choice though, so I'll take what I can get. 

He said that he doesn't think that the thin uterine lining the dr in Jakarta had said I had has been an issue w/my miscarriages...because he said if the uterine lining was a problem, I wouldn't have gotten pregnant in the first place.  I'm still not sure if I'm agreeing with that...from what I've read online, it can cause a miscarriage, because the implantation tries to occur and can't get as deep or whatever as it should if the lining's not thick enough, thus the mc.

Anyways, to humor me, last week on CD 4, he did an u/s and said that my uterine lining was measuring about 5, which was normal at that time.  I went back today (CD 12) and it was measuring 10, which he again said is  normal....so unless it's just a fluke...or just because it was just last month (ie up until a few days before AF arrived) that I was taking the estrogen/progesterone, that it's a false reading...then it's possible the dr in Jakarta was wrong?  I know that when the Jakarta dr did the u/s to check the uterine lining (the only time he did) it was three weeks after mc #3, about 2 days before AF showed up...and it was only measuring about 5...thus the drugs.

The Bulgarian RE did a bunch of blood work to test hormones and the ones that have come back so far he's said are fine.  The FSH - which somehow (in conjunction with a few other tests) predicts how far away menopause is -came back at 8.8 which he said is normal for my age and OK.  There are a few others that will combine the info from the FSH to tell about the ovarian reserve...the results of them come back later in the week.

The one thing I didn't like is that he strongly pushes for us to do IVF.  He said they can do the pre-genetic diagnosis (PGD) tests, because he thinks the mc's are all genetic - which leads me to my next area that I don't really buy what I'm being told....maybe if one of you is a genetics expert - or a biology expert - you can explain it to me a little better...because I think some of my question or his answer is lost in translation:

If my miscarriages were all caused by genetic problems...wouldn't the timing of the mc's vary by several weeks?  All four of them have been between 6-8 weeks.  Some babies with genetical developing problems end up being miscarriages at 10, 12, 14, even 18-20 weeks...they don't all necessarily miscarry at 6-8 weeks do they?!  Also...if it was just a problem with the baby dying and not something going on with me...wouldn't the baby die but it might not always be known until an u/s didn't find a heartbeat?  Not the other way around...things are fine, hb looks good, life is good...then it hits you like a Mac truck because all the sudden the bleeding starts and within hours of starting bleeding, the u/s shows no heartbeat?  Not that I'm in any way wishing it on myself (or God forbid anyone else)....but I see so many others that have a miscarriage that is found by the u/s not finding a hb....but their bodies don't start getting rid of the miscarried baby until a few weeks later. Which is the 'norm' for a mc?

They're also re-doing the chromosome tests on DH and I...and they did a 'Natural Killer cell' test on me and it was negative.  

By the u/s today...I have one follie that was measuring 20...and he said he'd guess I was going to 'O' in 24 hours or so...so I've gotta run...got things to do!   So far, nothing has come up - from any of the drs that leads me to believe they truly know what's going on...so in the meantime...I'm going to keep on trying, I guess...'cause it's definitely not going to happen if I don't.

Also - just in case we do decide to go that route...can someone tell me from start to finish what is involved w/an IVF?  How many injections, side effects, etc, from everything?  And what's the cost there in the States?  IVF here is around $3,000 + the drugs (I haven't a clue how much they  are).  This dr's English is OK...not perfect, but OK...but when I asked about how the IVF works, I was told that they go in and take the eggs, combine w/the sperm, etc...you get the picture...but nothing leading up to going in for the eggs part...which I'm sure involves more than luck to get more than one egg?!

Thanks.

Good luck with the new Dr!

My OB and the HR Dr told me when I had my miscarriage that the baby develops as far as it can with what is has chromosomal wise. So I interpret that as it can end at any time if it runs out of "blue print"

*hugs* I hope that this Dr can help you!

Liz

Thanks Liz.  I agree that the baby would develop until the 'blue print' ran out...it's just a question of do I believe the blue print would end at the same time every time.  We'll see what happens.  We're going drug free this month and pray for the best.

ive had plenty of mc but all of them have been linked to my mthfr mutation, im starting ivf in april to pgd them and freeze them for later use ... this would be my second ivf (ivf 1 gave us our dd) i was on a low regimin(sp) i took bcp for a month then i took 5ml of lupron subq shot in the belly for a 10days along w/a steriod pill then i took stimulation drugs on day i take follistim the next it was follistim/menupor it went back in forth for 7 days then i triggered w/hcg 2 days later went in they retrived my eggs then they mingled my girls w/dh boys and 6 days later we put 1boy and one girl in .and frooze 6 girls and 2 boys (failed fet this summer)... this time it should be the same except im doing a transfer in oct  my insurance paid for everything if it didnt would have pd 15,000. with out drugs 5/6 grand for drugs

Thank you for the info on the regimine leading up to the egg retrieval.  I don't think he was understanding what I was talking about when I was asking for the whole procedure.  The way he said it would be like telling how to tell someone to make bread.  You put the dough in the pan and bake it.  No clue how you make the dough, just put it in the pan and bake it.

Good luck on your upcoming ivf. 

No advice other than that is a very low cost for IVF compared to here. Hope that you get your miracle baby.

Tami

Thanks Tami.  I hope you get yours too...we could both be leaders of the 'old mama's club.'  I'm only a year behind you - almost to the date - so know you're not alone in this struggle.

 

Good luck! Not a bio or genetics expert but I agree with you BUT I was also thinking that if for somereason all the babies have the same genetic defect it could happen at the same time. Make sense?

Yes...that could be true...but what's the chances of having the same genetic problems? I have a huge family - my mom's the oldest of 9, I'm the 2nd to the oldest of the grand kids (35 of them), and there are at least 32 great grand kids.  Of the grandkids, I am the only one with any sort of birth defect (scoliosis and my kidney that I had removed 2 1/2 years ago), and one great grand child had a birth defect (intestines and stomach developed outside the body), and there are none on my husband's side (but he has a small family).  If it were something hereditary, I'd think it would have shown up elsewhere somewhere along the line. 

I know I'll likely never get an answer to any of this...but it's just in my head that it's not something genetic that's causing the problem - at least not for all four of them.  In my head/heart, I feel that something, somewhere is out of whack in my body  and that whatever that is - whether it's hormones, the blood clotting things, something to do w/the uterine fibroid, whatever - that is what's causing the miscarriages. 

Look at the families that have multiple kids that have the same genitic disorder and it was no where in the family. I would go with your gut tho. Most people are usually right with it.